| NPI | 1639623283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: KY 500256) |
| Additional Taxonomies | 251E00000X Home Health (Licence: KY 199479) |
| 251E00000X Home Health (Licence: KY 3497) | |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |